MEDICARE: LIEN NGUYEN BSN - RN

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	163W00000X	Registered Nurse	8622534-3102	UT

General Provider Information

NPI Number	:	1891647830
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LIEN NGUYEN BSN - RN

Provider Business Mailing Address
First Line	:	1950 CIRCLE OF HOPE DR # 2B
Second Line	:
City	:	SALT LAKE CITY
State	:	UT
Zip	:	84112-5500
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1950 CIRCLE OF HOPE DR # 2B
Second Line	:
City	:	SALT LAKE CITY
State	:	UT
Zip	:	84112-5500
Country	:	US
Telephone Number	:	801-587-7000
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/12/2026
Last Update Date	:	02/12/2026

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